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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CHADRICK LAMAR RICHARDSON PA
NPI 1215785993
Physician Assistant - Surgical in Bethlehem, GA

Active since May 08, 2024PECOS Enrolled
235 ALEXANDER LN, BETHLEHEM, GA 30620(229) 854-9056 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 22, 2026, May 8, 2024 (2 updates tracked since 2024).

About Mr. Chadrick Lamar Richardson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHADRICK LAMAR RICHARDSON PA (NPI 1215785993) is an individual surgical provider in Bethlehem, Georgia, licensed in Georgia (14124) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215785993
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CHADRICK LAMAR RICHARDSONCredential: PA
Location Address235 ALEXANDER LNBethlehem, GA 30620-1838
Mailing Address720 Westview Dr SwAtlanta, GA 30310-1458 · (404) 756-1959
Phone(229) 854-9056
Sole ProprietorNo
Enumeration DateMay 8, 2024
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1215785993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 14124
235 ALEXANDER LN, Bethlehem, GA 30620
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Chadrick Lamar Richardson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chadrick Richardson's NPI number?

The NPI number for Chadrick Richardson is 1215785993. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Chadrick Richardson located?

Chadrick Richardson practices at 235 Alexander Ln, Bethlehem, GA 30620. The listed phone number is (229) 854-9056.

What is Chadrick Richardson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Chadrick Richardson enrolled in Medicare?

Yes. Chadrick Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chadrick Richardson was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.